Northern Clinics of Istanbul最新文献_第6页

An atypical presentation of COVID-19: Hidden risk for seniors to misdiagnose. COVID-19的非典型表现:老年人误诊的潜在风险。

IF 1

Northern Clinics of Istanbul Pub Date : 2023-01-01 DOI: 10.14744/nci.2022.35336

Esra Ates Bulut, Guzin Ozden, Ahmet Turan Isik

{"title":"An atypical presentation of COVID-19: Hidden risk for seniors to misdiagnose.","authors":"Esra Ates Bulut, Guzin Ozden, Ahmet Turan Isik","doi":"10.14744/nci.2022.35336","DOIUrl":"https://doi.org/10.14744/nci.2022.35336","url":null,"abstract":"The outbreak of coronavirus disease (COVID-19) was announced as a pandemic by the World Health Organization in March 2020. Clinical manifestations include cough, fever, dyspnea, myalgia, and loss of sense of smell and taste. Less common extrapulmonary signs and symptoms such as cutaneous manifestations, diarrhea, confusion, functional decline have been reported in the literature. Older patients with multiple comorbidities are at a greater risk for severe disease and death and are vulnerable to atypical presentations due to changes in organ systems, multimorbidity, cognitive impairment, and sensory disturbances. In this case, a 77-year-old patient diagnosed with COVID-19 pneumonia presented with atypically acute urticaria with angioedema was reported. Although there were no typical signs of the disease, such as cough or shortness of breath, the patient's laboratory values, and chest imaging were compatible with COVID-19. Therefore, the diagnosis of COVID-19 should be considered in older patients presenting with subtle signs or cutaneous manifestations.","PeriodicalId":19164,"journal":{"name":"Northern Clinics of Istanbul","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0e/2e/NCI-10-521.PMC10500241.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10654925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the landscape of CA-125 testing: A comprehensive analysis of Ministry of Health data. 探索CA-125检测的前景:对卫生部数据的综合分析。

IF 1

Northern Clinics of Istanbul Pub Date : 2023-01-01 DOI: 10.14744/nci.2023.59908

Mustafa Mahir Ulgu, Suayip Birinci

{"title":"Exploring the landscape of CA-125 testing: A comprehensive analysis of Ministry of Health data.","authors":"Mustafa Mahir Ulgu, Suayip Birinci","doi":"10.14744/nci.2023.59908","DOIUrl":"https://doi.org/10.14744/nci.2023.59908","url":null,"abstract":"Objective: The aim of this study was to investigate the utilization patterns and clinical implications of cancer antigen 125 (CA-125) testing in the diagnosis of ovarian and endometrial cancers using a large-scale dataset obtained from the Ministry of Health.Methods: A retrospective analysis was conducted on anonymized data collected between 2017 and 2021, comprising 3.917.240 individuals who underwent CA-125 testing. The data included demographic information, test results, diagnoses, and clinical characteristics. Descriptive statistics and comparative analyses were performed to assess the utilization trends and clinical outcomes associated with CA-125 testing.Results: Among the study population, CA-125 testing was primarily requested for female individuals, with the highest number of tests performed in the age group of 18-64 years. The overall positive rate for CA-125 was 13.31%, with slightly lower rates observed in females (13.18%) than males (14.07%). The study identified a significant association between elevated CA-125 levels and cancer diagnoses, with 19.88% of positive CA-125 results indicating cancer, whereas 10.51% had no cancer diagnosis. Furthermore, the study revealed a higher likelihood of cancer detection among individuals aged 65 years and above, with a positive rate of 17.79%.Conclusion: Our findings provide valuable insights into the utilization patterns and clinical implications of CA-125 testing in ovarian and endometrial cancer diagnosis. While CA-125 remains a prominent tumor marker, its interpretation should consider age, gender, and clinical context. The study emphasizes the potential benefits of integrating additional markers and imaging modalities to enhance diagnostic accuracy. These findings contribute to optimizing the use of CA-125 testing for early detection and management of gynecological malignancies, thereby improving patient outcomes.","PeriodicalId":19164,"journal":{"name":"Northern Clinics of Istanbul","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/62/ad/NCI-10-501.PMC10500244.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10654931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mannose-binding lectin (MBL) levels in children with Hashimoto's thyroiditis. 甘露糖结合凝集素(MBL)在桥本甲状腺炎患儿中的水平。

IF 1

Northern Clinics of Istanbul Pub Date : 2023-01-01 DOI: 10.14744/nci.2022.22058

Ali Gul, Nihal Hatipoglu, Resul Yilmaz, Haci Omer Ates

{"title":"Mannose-binding lectin (MBL) levels in children with Hashimoto's thyroiditis.","authors":"Ali Gul, Nihal Hatipoglu, Resul Yilmaz, Haci Omer Ates","doi":"10.14744/nci.2022.22058","DOIUrl":"https://doi.org/10.14744/nci.2022.22058","url":null,"abstract":"Objective: Hashimoto's thyroiditis (HT) was described many years ago, but the etiopathogenesis remains unclear. Mannose-binding lectin (MBL) initiates complement activation in the lectin pathway. We determined MBL levels in children with HT and the associations thereof with thyroid hormone and thyroid autoantibody levels.Methods: Thirty-nine patients with HT and 41 controls were enrolled from the pediatric outpatient clinics. Subjects were grouped according to their thyroid functions: Euthyroid, marked hypothyroidism and clinical/subclinical hyperthyroidism. MBL levels were compared among these groups. Serum MBL levels of the subjects were determined using MBL Human ELISA kit.Results: Serum MBL levels were studied in serum samples from the 80 subjects (48 (60.0%) females). MBL levels in HT and control groups were 50.787±34.718 and 50.593±44.28 ng/ml (p=0,983), respectively. In HT group, there was no significant difference in MBL levels between thyroid function groups (p=0.869). In addition, gender was not detected as a factor for serum MBL levels. Also we found negative correlation between WBC and serum MBL levels (r=-0.532; p=0.050). Otherwise there was no correlation between TSH, anti-TPO and anti-TG with serum MBL levels.Conclusion: MBL levels did not decrease in HT patients. Further research is needed to elucidate more fully any role for MBL in the development of autoimmune thyroid disease.","PeriodicalId":19164,"journal":{"name":"Northern Clinics of Istanbul","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2a/cd/NCI-10-353.PMC10331246.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9812399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Analysis of blood parameters and clinical features in women with pilonidal sinus disease: Is there a link between the disease and polycystic ovary syndrome? 女性毛窦疾病的血液参数和临床特征分析:疾病与多囊卵巢综合征之间是否存在联系?

IF 1

Northern Clinics of Istanbul Pub Date : 2023-01-01 DOI: 10.14744/nci.2022.08784

Banu Yigit, Rumeysa Kevser Liman, Gulhan Kilicarslan

{"title":"Analysis of blood parameters and clinical features in women with pilonidal sinus disease: Is there a link between the disease and polycystic ovary syndrome?","authors":"Banu Yigit, Rumeysa Kevser Liman, Gulhan Kilicarslan","doi":"10.14744/nci.2022.08784","DOIUrl":"https://doi.org/10.14744/nci.2022.08784","url":null,"abstract":"Objective: Pilonidal sinus disease (PSD) is a common disorder in the sacrococcygeal region and has a lower incidence in female as compared with male patients. The aim of this study is to evaluate clinical, hematological, biochemical, and hormonal parameters in women with PSD, and to determine whether the disease plays a major role in abnormalities of clinical and laboratory findings. This study also brings to the forefront the issue of the association between PSD and polycystic ovary syndrome (PCOS).Methods: The prospective single-center study included women with PSD, and an equal number of healthy women enrolled in the control group (50 women in each arm of the study). Medical history was taken from every patient, and blood tests were performed on all participants. Ultrasound imaging was performed to evaluate the ovaries.Results: Both groups were matched for age (p=0.124). The prevalence of obesity and dyslipidemia was significantly higher in women with PSD compared to controls (p=0.046, p=0.008, respectively). The right ovary volume was significantly higher in the study group than the control group (p=0.028). The study group had also significantly higher mean levels of neutrophil, C-peptide, and thyroid stimulating hormone (p=0.047, p=0.031, and p=0.048, respectively). The prevalence of PCOS was higher in patients with PSD, but the difference failed to reach statistical significance (32 vs. 22%, p=0.26).Conclusion: Based on the findings of our study, some clinical and blood parameters differed significantly between women with and without PSD. Although the present study revealed that the prevalence of PCOS was not significantly different in women with or without PSD, more comprehensive and prospective studies are required.","PeriodicalId":19164,"journal":{"name":"Northern Clinics of Istanbul","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/97/05/NCI-10-367.PMC10331243.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9812403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neuropathic pain in patients with post-COVID-19. covid -19后患者的神经性疼痛。

IF 1

Northern Clinics of Istanbul Pub Date : 2023-01-01 DOI: 10.14744/nci.2022.31932

Emine Burcu Comruk, Raikan Buyukavci, Erol Comruk, Semra Akturk, Yuksel Ersoy

{"title":"Neuropathic pain in patients with post-COVID-19.","authors":"Emine Burcu Comruk, Raikan Buyukavci, Erol Comruk, Semra Akturk, Yuksel Ersoy","doi":"10.14744/nci.2022.31932","DOIUrl":"https://doi.org/10.14744/nci.2022.31932","url":null,"abstract":"Objective: In this study, we aimed to determine the continuing pain during the post-COVID-19 period the frequency of neuropathic pain in these patients, and the factors affecting the frequency.Methods: A total of 209 participants were included in the study who had COVID-19 disease (PCR-positive) aged 18-75 years. The demographic characteristics and COVID-19 severity data were recorded by questioning the patients. The musculoskeletal pain was also assessed using Visual Analog Scale (VAS) and the extended Nordic musculoskeletal system questionnaire (NMQ-E). In addition, the neuropathic components of pain were evaluated using the Leeds Assessment of neuropathic symptoms and Signs (LANSS) pain scale and the Pain-DETECT questionnaire (PDQ).Results: The mean time elapsed since COVID-19 was 5.76±2.95 months (min, 1; max, 12). Six patients (2.9%) had neuropathic pain according to the LANSS score, and 12 patients (5.7%) according to the PDQ score. The NMQ-E indicated that the most pain was detected in the back (20.1%), low back (15.3%), and knee (11.5%) regions during the post-COVID-19 period. According to both neuropathic pain scales; low back pain (p=0.001/0.001) and knee pain (p=0.001/0.01) were more common in patients with PDQ/LANSS neuropathic pain. Logistic regression analysis showed that there were significant associations between neuropathic pain and acute COVID-19 VAS score.Conclusion: This study demonstrated that musculoskeletal pain was prominent mostly in the back, low back, and knee during the post-COVID-19 period. The incidence of neuropathic pain was 2.9%-5.7% depending on the evaluation parameters. Neuropathic pain is a finding that should be considered during the post-COVID-19 period.","PeriodicalId":19164,"journal":{"name":"Northern Clinics of Istanbul","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/57/e3/NCI-10-359.PMC10331247.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9812404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Serum CXCL5 as a biomarker in multiple sclerosis and neuromyelitis optica spectrum disorder. 血清CXCL5作为多发性硬化症和视神经脊髓炎谱系障碍的生物标志物。

IF 1

Northern Clinics of Istanbul Pub Date : 2023-01-01 DOI: 10.14744/nci.2022.77861

Zerrin Karaaslan, Vuslat Yilmaz, Hande Yuceer, Elif Sanli, Halil Ibrahim Akcay, Murat Kurtuncu, Recai Turkoglu, Erdem Tuzun

引用次数: 0

The relationship between seborrheic dermatitis and body composition parameters. 脂溢性皮炎与体成分参数的关系。

IF 1

Northern Clinics of Istanbul Pub Date : 2023-01-01 DOI: 10.14744/nci.2022.08068

Aysegul Ozgul, Nihal Altunisik, Dursun Turkmen, Serpil Sener

{"title":"The relationship between seborrheic dermatitis and body composition parameters.","authors":"Aysegul Ozgul, Nihal Altunisik, Dursun Turkmen, Serpil Sener","doi":"10.14744/nci.2022.08068","DOIUrl":"https://doi.org/10.14744/nci.2022.08068","url":null,"abstract":"Objective: Seborrheic dermatitis (SD) is a chronic, recurrent inflammatory skin disease characterized by clinically scaly patches. It is known that skin diseases with chronic inflammation are associated with comorbid conditions such as metabolic syndrome, obesity, cardiovascular diseases (CVD) and diabetes. In recent years, there are studies investigating the relationship of SD with metabolic syndrome, hypertension, obesity and nutritional factors. However, there is no study evaluating body composition parameters in SD patients. In the light of this information, it was aimed to evaluate the relationship between SD and body composition parameters.Methods: The study was conducted on a total of 78 participants, including 39 SD patients over the age of 18 and 39 age- and gender-matched control patients, who applied to the University Faculty of Medicine Dermatology outpatient clinic. Body composition parameters were measured for each participant with the Tanita MC 580 Body Analyzer. In addition, SD area severity ındex (SDASI) was calculated in the SD patient group. These parameters were compared between the case and control groups.Results: There was no significant difference concerning height (p=0.208), weight (p=0.309), body mass index (p=0.762), fat mass (p=0.092), metabolic age (p=0.916), body density (p=0.180), mineral (p=0.699), visceral adiposity (p=0.401), protein (p=0.665), and other body composition parameters, between the case and control groups. There was only positive correlation between SDASI and height (p=0.026) and protein (0.016) value.Conclusion: SD may be associated with obesity, metabolic syndrome, insulin resistance, and CVD, but the results are unclear and further studies are needed.","PeriodicalId":19164,"journal":{"name":"Northern Clinics of Istanbul","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/83/1b/NCI-10-271.PMC10170379.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9822343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

ERRATUM. 勘误表。

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Northern Clinics of Istanbul Pub Date : 2023-01-01 DOI: 10.14744/nci.2023.75418

引用次数: 0

The results of following type 2 diabetes patients with mobile health services during the COVID-19 pandemic. COVID-19大流行期间2型糖尿病患者移动医疗服务的随访结果

IF 1

Northern Clinics of Istanbul Pub Date : 2023-01-01 DOI: 10.14744/nci.2022.73454

Kubra Gizem Nacak, Sema Ucak Basat, Mehmet Tayfur, Betul Ayaz, Ozge Siyer, Esra Bora, Zeynep Pelin Polat

{"title":"The results of following type 2 diabetes patients with mobile health services during the COVID-19 pandemic.","authors":"Kubra Gizem Nacak, Sema Ucak Basat, Mehmet Tayfur, Betul Ayaz, Ozge Siyer, Esra Bora, Zeynep Pelin Polat","doi":"10.14744/nci.2022.73454","DOIUrl":"https://doi.org/10.14744/nci.2022.73454","url":null,"abstract":"Objective: The aim of this study is to determine the level of compliance with treatment and achieving metabolic goals in type 2 diabetes mellitus (T2DM) patients who are remotely monitored with mobile health (mHealth) technologies during the pandemic.Methods: A total number of 86 patients were included in the study. Data from two periods were used: from 1 month before the date when the first COVID-19 case in Turkiye was reported on March 11, 2020 (Febraury 10, 2020-March 31, 2020) and from the pandemic was severe between April 01, 2020 and May 31, 2020. Participants' mean blood glucose, step count, blood pressure, body weight, and diet compliance levels were evaluated.Results: When the blood sugar, blood pressure, and weight averages of the patients were compared between the pre-pandemic period and the pandemic months separately, no significant difference was observed. However, it was observed that the number of steps decreased significantly compared to the period before the pandemic (p<0.05). It was determined that 88% of the participants were able to access health services without applying to the hospital.Conclusion: In this study, we showed that patients with T2DM who were followed up with mHealth technologies provided the necessary metabolic control and compliance with the treatment during the pandemic.","PeriodicalId":19164,"journal":{"name":"Northern Clinics of Istanbul","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/dd/40/NCI-10-010.PMC9996655.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9102072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experience of 500 cardiovascular magnetic resonance imaging and systematic analysis of cases. 500例心血管磁共振成像经验及病例系统分析。

IF 1

Northern Clinics of Istanbul Pub Date : 2023-01-01 DOI: 10.14744/nci.2022.28445

Sercin Ozkok, Ilker Kemal Yucel, Ahmet Sasmazel, Ahmet Celebi

{"title":"Experience of 500 cardiovascular magnetic resonance imaging and systematic analysis of cases.","authors":"Sercin Ozkok, Ilker Kemal Yucel, Ahmet Sasmazel, Ahmet Celebi","doi":"10.14744/nci.2022.28445","DOIUrl":"https://doi.org/10.14744/nci.2022.28445","url":null,"abstract":"Objective: Cardiovascular magnetic resonance imaging (MRI) is a widely accepted reference imaging technique in routine cardiology clinics in many centers due to its advantages in providing preferable functional, morphologic information. However, there is little information about national experience in clinical application and findings of cardiovascular MRI. The objective of this study was to demonstrate the clinical and demographic characteristics of patients admitted to our cardiac imaging department.Methods: A total of 500 cardiovascular MRI examinations performed between 2016 and 2019 were enrolled in this retrospective study. Clinical indications, demographic, and cardiovascular MRI findings of the patients were retrospectively evaluated.Results: Five hundred patients (M/F=301/199) were included in this retrospective, single center study. The majority of the examinations were performed for the assessment of congenital heart disease (n=254, 50.8%). The other indications were for myocardial disease (n=160, 32%), cardiac mass (n=44, 8.8%), valvular heart disease (n=20, 4%), magnetic resonance angiography (n=12, 2.4% for aorta and pulmonary artery [n=9, 1.8%] and for coronary arteries [n=3, 0.6%]), and vasculitis (n=7, 1.7%), pericardial disease (n=3, 0.6%). Minor complication was seen during the contrast agent injection in three patients (0.06%).Conclusion: Cardiovascular MRI is a reliable and accurate imaging tool in identifying the various cardiac pathology with widely accepted use in the clinical area. Our single-center experience of 500 cases demonstrates the varieties of clinical indications in daily practice that may contribute to the national data pool.","PeriodicalId":19164,"journal":{"name":"Northern Clinics of Istanbul","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1c/67/NCI-10-108.PMC9996649.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9109204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0